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Active NPI 1821614934 Individual Practitioner Female Practitioner

Kathryn Tidaback , MS CCC-SLP

Speech-Language Pathologist • Capitola, CA

Professional Overview & Biography Verified Profile Summary

Kathryn Tidaback, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Capitola, CA. Practice services are available at 820 BAY AVE STE 212 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

820 Bay Ave Ste 212

Capitola, CA 950102103

Telephone 8318542060
Associated Practice Facility / Clinic
🏢 Speechrighter, Inc. Facility NPI 1942463823

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Capitola, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Capitola, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 27759

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

1031 Brommer St

Santa Cruz, CA 950622807

Phone: 5207800666

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Chelsea Mcmillen , OTRL

Occupational Therapist - Pediatrics

NPI 1023593811

Occupational Therapist Registered & Licensed

Cristienne Colip , SP

Speech-Language Pathologist

NPI 1033600713
Morgan Llewellyn

Student in an Organized Health Care Education/Training Program

NPI 1053292383
Shawnee Urrere

Student in an Organized Health Care Education/Training Program

NPI 1063392579
Savannah Gluck

Occupational Therapist

NPI 1114497682
Esther Sican

Occupational Therapist

NPI 1316724511

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2020

Registered at 820 BAY AVE STE 212, CAPITOLA, CA 950102103 (Tel: 8318542060)

📍
Updated Business Mailing Address June 24, 2020

Registered at 1031 BROMMER ST, SANTA CRUZ, CA 950622807 (Tel: 5207800666)

👤
Provider Name / Credentials Updated June 24, 2020

Recorded as KATHRYN TIDABACK, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2020

Speech-Language Pathologist (License #27759 in CA)

🟢
Initial NPI Registration & Enumeration June 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821614934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2020
Last Update: June 24, 2020
Sole Proprietor: Yes

Mailing Address

1031 Brommer St

Santa Cruz, CA 950622807

Phone: 5207800666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.